Almost Famous Dance Studio Online Registration

Registration

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Welcome to Almost Famous Dance Gymnastics & Cheer!!!! Please use students age/grade as of Fall 2023 to register.

* denotes required fields

Referral Information

How did you hear about us?*

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Emergency Contact Info (Not Contact #1 or #2)*

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone

Work #

Cell # *

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Who is your employer?

Employer*

Employer Phone*

Employer Notes

Contact #2

Contact #2 First Name

Last Name

Type

How can we contact you?

Home Phone

Work #

Cell #

Email (Emails are kept confidential)

Confirm Email

Who is your employer?

Employer

Employer Phone

Employer Notes

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

School

Grade Level*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Please click on the Search button below, then choose the class.

Main Location -Monticello

Dy Location -Dyersville

Both Locations-is for our competition teams.

Our classes go off of age/Grade Fall of 2023.

Any Questions please reach out to us at Almost Famous by phone (319) 465-4111 or email almostfamousdance@gmail.com

Thank you & Welcome to the Fam!

Amanda Hackney & Melissa Ehrisman

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

School

Grade Level*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Please click on the Search button below, then choose the class.

Main Location -Monticello

Dy Location -Dyersville

Both Locations-is for our competition teams.

Our classes go off of age/Grade Fall of 2023.

Any Questions please reach out to us at Almost Famous by phone (319) 465-4111 or email almostfamousdance@gmail.com

Thank you & Welcome to the Fam!

Amanda Hackney & Melissa Ehrisman

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

School

Grade Level*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Please click on the Search button below, then choose the class.

Main Location -Monticello

Dy Location -Dyersville

Both Locations-is for our competition teams.

Our classes go off of age/Grade Fall of 2023.

Any Questions please reach out to us at Almost Famous by phone (319) 465-4111 or email almostfamousdance@gmail.com

Thank you & Welcome to the Fam!

Amanda Hackney & Melissa Ehrisman

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

School

Grade Level*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Please click on the Search button below, then choose the class.

Main Location -Monticello

Dy Location -Dyersville

Both Locations-is for our competition teams.

Our classes go off of age/Grade Fall of 2023.

Any Questions please reach out to us at Almost Famous by phone (319) 465-4111 or email almostfamousdance@gmail.com

Thank you & Welcome to the Fam!

Amanda Hackney & Melissa Ehrisman

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

School

Grade Level*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Please click on the Search button below, then choose the class.

Main Location -Monticello

Dy Location -Dyersville

Both Locations-is for our competition teams.

Our classes go off of age/Grade Fall of 2023.

Any Questions please reach out to us at Almost Famous by phone (319) 465-4111 or email almostfamousdance@gmail.com

Thank you & Welcome to the Fam!

Amanda Hackney & Melissa Ehrisman

Enroll in Classes

Select Class

Add Another Student

Required Policies

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Questions or Concerns

Comments

Payment Information

Please fill out ONE of the following Payment Methods

Credit Card

Card Number

Exp Month

Exp Year

Card Nickname

Name as it appears on card

Address Line 1

Address Line 2

City

State

Zip

eCheck/Bank Draft

Bank Name

Account Type

Your Account Name (Your name on your bank statement)

Bank Routing Number (9-digit number)

Account Number

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Registration

Referral Information

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Who is your employer?

Contact #2

How can we contact you?

Who is your employer?

Student #1

Additional Info

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Student #2 (Show-Hide Details)

Additional Info

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Student #3 (Show-Hide Details)

Additional Info

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Student #4 (Show-Hide Details)

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Student #5 (Show-Hide Details)

Additional Info

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Questions or Concerns

Payment Information

Credit Card

eCheck/Bank Draft

Required Policies

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